Digital Commons Network^™

Provider Support Of Parental Nutrition Management By Registered Dietitians, Victoria Rosado, Kimberly Cephas Ms, Rd, Cnsc, Rachel Geosits Ms, Rdn, Cnsc, Ldn, Courtney Kalamar Rd, Cnsc, Ldn, Melissa Faura Rd, Ldn, Ann Flickinger Ms, Rd, Ldn

Research Scholars

No abstract provided.

The Prevalence Of Diabetes In Juveniles, Tatyana Johnson

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Diabetes mellitus, simply known as diabetes, is a metabolic disorder that impacts how the body makes use of glucose or blood sugar. Glucose is the primary supply of energy for the body’s cells, which is controlled by insulin, a pancreatic hormone. Diabetes results in high blood glucose levels (hyperglycemia), which are caused by either insufficient insulin production by the pancreas or ineffective insulin utilization by the body (Dean & McEntyre, 2004). Although there are several types of diabetes, the two main types are type 1 and type 2. Type 1, also known as juvenile diabetes, is an inflammatory condition in …

The Effects Of Ultra-Marathon Trail Running And The Physiological Response Of Stress On Salivary Biomarkers, Kevan W. Stout, Jeremy R. Pearson, Catherine A. Hambleton, Jake A. Deckert, Philip M. Gallagher

Journal of Human Performance in Extreme Environments

PURPOSE: This study investigated changes in salivary α-amylase (sAA), cortisol, and interleukin-1β (IL-1β) concentrations following completion of an ultra-marathon trail run (UMT) to better understand the physiological stressors imposed by this extreme type of race. METHODS: Eight subjects participated in this study. Each subject completed a 50 km UMT. Two-minute oral salivary swabs were taken 10 minutes prior to race start and again within 1 minute of race finish. Samples were analyzed for sAA, cortisol and IL-1β using ELISA kits. RESULTS: Our results demonstrated a significant increase in both sAA (p = 0.002) and cortisol (p < 0.001) from baseline. No significant differences were observed for IL-1β. There was no significant relationship between the observed sAA increase and race speed. The observed increase in cortisol was significantly correlated with race speed (R² = 0.582, p …

Serum Metabolomic Profiling For Colorectal Cancer Using Machine Learning, Ria Nur Puspa Sari, Diah Balqis Ikfi Hidayati, Arleni Bustami

Indonesian Journal of Medical Chemistry and Bioinformatics

Background: Colorectal cancer is one of the deadliest diseases with a high prevalence worldwide and is characterized by the appearance of adenomatous polyps in the colon mucosa which are at high risk of developing into colorectal cancer. This study aims to use serum metabolites as promising non-invasive biomarkers for colorectal cancer detection and prognostication. Differences in serum metabolites in patients with adenomatous polyps, colorectal cancer, and healthy controls are considered to be able to support the prognosis of colorectal cancer. Methods: Metabolite dataset is taken from the Metabolomic Workbench. Analysis and validation are carried out in silico using machine learning …

Nature Of The Evidence Base And Strengths, Challenges And Recommendations In The Area Of Nutrition And Health Claims: A Position Paper From The Academy Of Nutrition Sciences, Margaret Ashwell, Mary Hickson, Sara Stanner, Ann Prentice, Christine M. Williams

School of Health Professions

AbstractThe regulation of health claims for foods by the Nutrition and Health Claims Regulation is intended, primarily, to protect consumers from unscrupulous claims by ensuring claims are accurate and substantiated with high quality scientific evidence. In this position paper, the Academy of Nutrition Sciences uniquely recognises the strengths of the transparent, rigorous scientific assessment by independent scientists of the evidence underpinning claims in Europe, an approach now independently adopted in UK. Further strengths are the separation of risk assessment from risk management, and the extensive guidance for those submitting claims. Nevertheless, four main challenges in assessing the scientific evidence and …

Comment On 'Hand Grip Strength-Based Cachexia Index As A Predictor Of Cancer Cachexia And Prognosis Inpatients With Cancer’ By Xie Et Al., Ping'an Ding, Jiaxiang Wu, Haotian Wu, Chenyu Sun, Muzi Meng, Scott Lowe, Yuan Tian, Honghai Guo, Lingjiao Meng, Qun Zhao

Student Publications

No abstract provided.

The Pulse, 1982 Autumn, Advocate Aurora Health

Historical Documents - Combined

Mount Sinai Medical Center, Milwaukee, WI: Internal publication for employees of the Mount Sinai Medical Center. This issue features articles on exercise and physical activity, an employee interview is with the supervisor of Telecommunications, parenting classes for new fathers, and updates on personnel.

The Pulse, 1983 Fall, Advocate Aurora Health

Historical Documents - Combined

Mount Sinai Medical Center, Milwaukee, WI: Internal publication for employees of the Mount Sinai Medical Center. This issue features articles on Alzheimer's disease, medical insurance and hospital reimbursement, an employee interview with the assistant director of Housekeeping, and updates to personnel.

The Pulse, 1983 Spring, Advocate Aurora Health

Historical Documents - Combined

Mount Sinai Medical Center, Milwaukee, WI: Internal publication for employees of the Mount Sinai Medical Center. This issue features articles on treating back pain, hospice services, medical research, an employee interview with a nurse, celebration of National Volunteer Week, and updates to personnel.

Relationship Between Pedestrian Activity And Avian Body Condition During Fall Migration, Laura Marsh, David A. Aborn

Cities and the Environment (CATE)

Many North American landbirds undergo biannual migrations, which are energetically costly. Quality stopover sites are crucial to avian survival, as they provide opportunities to quickly replenish fat stores, rest, and avoid predation. One component of habitat quality that is often overlooked is the level of pedestrian activity, which birds may interpret as a predatory threat. If intrusion levels are high, birds will flush repeatedly and may not adequately restore energy reserves, which hinders successful migration. We compared body mass index between birds at different intrusion levels, testing the hypothesis that birds near continuous intrusion will be in poorer condition. Results …

An Analysis Of Capital Flow To Construct An Economic Typology In A Comparative Case Study Of Three Ancient Cities: Third Kingdom Of Ur, New Kingdom Of Thebes, And Classical Athens, Darrell Gremillion

Dissertations

This dissertation adds to the literature on Economic Development through the development of a Typology of Economy applicable to the earliest cities. Understanding the evolution of these early economies is a crucial step in understanding the past to assist in the establishment of policies for the future. This is especially important in the light of the environmental and sustainability challenges facing the globe today.

The cities in the comparative case study include the Third Dynasty of Ur in Mesopotamia, the New Kingdom of Thebes in Egypt, and Classical Athens in Greece. These cities are chosen for the case study for …

Urolithin A As A Potential Agent For Prevention Of Age-Related Disease: A Scoping Review., Breanne Kothe, Sarah Klein, Stephanie N. Petrosky

HPD Articles

The aging of an organism is hallmarked by systemic loss of functional tissue, resulting in increased fragility and eventual development of age-related neurodegenerative, musculoskeletal, cardiovascular, and neoplastic diseases. Growing scientific evidence points to mitochondrial dysfunction as a key contributor in the aging process and subsequent development of age-related pathologies. Under normal physiologic conditions, the body removes dysfunctional mitochondria via an autophagic process known as mitophagy. Urolithin A (UA), a metabolite produced when gut microflora digests the polyphenol compounds ellagitannin and ellagic acid, is a known inducer of mitophagy via several identified mechanisms of action. The primary objective of this scoping …

International Society Of Sports Nutrition Position Stand: Coffee And Sports Performance, Lonnie M. Lowery, Dawn E. Anderson, Kelsey F. Scanlon, Abigail Stack, Guillermo Escalante, Sara C. Campbell, Chad M. Kerksick, Michael T. Nelson, Tim N. Ziegenfuss, Trisha A. Vandusseldorp, Douglas S. Kalman, Bill I. Campbell, Richard B. Kreider, Jose Antonio

HPD Articles

Based on review and critical analysis of the literature regarding the contents and physiological effects of coffee related to physical and cognitive performance conducted by experts in the field and selected members of the International Society of Sports Nutrition (ISSN), the following conclusions represent the official Position of the Society:

(1) Coffee is a complex matrix of hundreds of compounds. These are consumed with broad variability based upon serving size, bean type (e.g. common Arabica vs. Robusta), and brew method (water temperature, roasting method, grind size, time, and equipment).

(2) Coffee’s constituents, including but not limited to caffeine, have neuromuscular, …

Latent Profiles Of Counselor Burnout: Associations With Self-Discrepancy, Isak Kim, Donghun Lee, Janghee Lee, Sang Min Lee

Counseling Faculty Publications

The purpose of this research study was to identify heterogeneous counselor burnout profiles using a latent profile analysis (LPA) and examine the profiles in association with counselors’ personal and professional self-discrepancies in counselor qualities. Data from 360 practicing professional counselors were used for analysis. LPA identified four distinct profiles: Well-Adjusted Counselors (n = 167, 46.4%), Disconnected Counselors (n = 68, 18.9%), Impaired Counselors (n = 22, 6.1%), and Persevering Counselors (n = 103, 28.6%). A series of Chi-square tests indicated there were significant associations between the burnout profiles and self-discrepancies in some counselor qualities, such as …

The Emergence Of Convergence, Shana M. Sundstrom, David G. Angeler, Jessica G. Ernakovich, Jorge H. Garcia, Joseph A. Hamm, Orville Huntington, Craig R. Allen

Faculty Publications

Science is increasingly a collaborative pursuit. Although the modern scientific enterprise owes much to individuals working at the core of their field, humanity is increasingly confronted by highly complex problems that require the integration of a variety of disciplinary and methodological expertise. In 2016, the U.S. National Science Foundation launched an initiative prioritizing support for convergence research as a means of “solving vexing research problems, in particular, complex problems focusing on societal needs.” We discuss our understanding of the objectives of convergence research and describe in detail the conditions and processes likely to generate successful convergence research. We use our …

Associations Between Parenting Strategies And Bmi Percentile Among Latino Children And Youth With Intellectual And Developmental Disabilities, Sandy Magaña, Vanessa L. Errisuriz, Amy Pei-Lung Yu, Nazanin M. Heydarian, Weiwen Zeng, Mansha Mirza, Sandra Vanegas, Stephany Brown, Deborah Parra-Medina, Yolanda Suarez-Balcazar

School of Social Work Faculty Publications

Introduction: Maintaining healthy weight is a challenge for all children, and particularly for children with IDD compared to nondisabled children and for Latino children compared to non-Latino White children. Parenting practices related to food intake and physical activity have been found to be important in maintaining children's weight. In this study, we describe the prevalence of overweight and obesity status among Latino children with IDD and their maternal caregivers and determine the relationship between food and physical activity parenting practices and childhood obesity among Latino children with IDD.

Methods: We interviewed 94 Latino parent/child dyads and collected information about parenting …

Prevalence, Management And Efficacy Of Treatment In Portal Vein Obstruction After Paediatric Liver Transplantation: Protocol Of The Retrospective International Multicentre Portal Registry., Bader A. Alfares, Hubert P J Van Der Doef, Barbara E. Wildhaber, Thomas Casswall, Greg Nowak, Martin Delle, Denise Aldrian, Valeria Berchtold, Georg F. Vogel, Piotr Kaliciński, Malgorzata Markiewicz-Kijewska, Adam Kolesnik, Jesús Q. Bernabeu, María Mercadal Hally, Mauricio Larrarte K, Paolo Marra, Michela Bravi, Domenico Pinelli, Mureo Kasahara, Seisuke Sakamoto, Hajime Uchida, Vidyadhar Mali, Marion Aw, Stéphanie Franchi-Abella, Emmanuel Gonzales, Florent Guérin, Guillermo Cervio, Julia Minetto, Sergio Sierre, Martin De Santibañes, Victoria Ardiles, Jimmy Walker Uno, Helen Evans, David Duncan, John Mccall, Steffen Hartleif, Ekkehard Sturm, Jai Patel, Marumbo Mtegha, Raj Prasad, Cristina T. Ferreira, Luiza S. Nader, Marco Farina, Catalina Jaramillo, Manuel I. Rodriguez-Davalos, Peter Feola, Amit A. Shah, Phoebe M. Wood, Michael R. Acord, Ryan T. Fischer, Bhargava Mullapudi, Richard J. Hendrickson, Rajeev Khanna, Viniyendra Pamecha, Amar Mukund, Khalid Sharif, Girish Gupte, Simon Mcguirk, Gilda Porta, Marco Spada, Tommaso Alterio, Giuseppe Maggiore, Winita Hardikar, Marisa Beretta, Rudi Dierckx, Ruben H J De Kleine, Reinoud P H Bokkers

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Portal vein obstruction (PVO) consists of anastomotic stenosis and thrombosis, which occurs due to a progression of the former. The aim of this large-scale international study is to assess the prevalence, current management practices and efficacy of treatment in patients with PVO.

METHODS AND ANALYSIS: The Portal vein Obstruction Revascularisation Therapy After Liver transplantation registry will facilitate an international, retrospective, multicentre, observational study, with 25 centres around the world already actively involved. Paediatric patients (agedyears) with a diagnosed PVO between 1 January 2001 and 1 January 2021 after liver transplantation will be eligible for inclusion. The primary endpoints are …

Building A Community-Academic Partnership To Improve Underrepresented Group Awareness Of Parkinson’S Disease And Research, Danielle N. Larson, Jennifer Adrissi, Madison Lyleroehr, Emily Zivin, Karen Williams, Tanya Simuni

Journal of Health Disparities Research and Practice

BACKGROUND: Members of underrepresented groups (URGs) are more likely to have delays in PD diagnosis and less likely to receive specialized care when compared to non-Hispanic Caucasians. URGs are not proportionately represented in PD clinical research. Barriers to optimal diagnosis and treatment and research participation are multifaceted but include insufficient community knowledge of PD and research.

OBJECTIVES: To establish a community-academic partnership (CAP) for increasing knowledge of Parkinson’s Disease (PD) and research opportunities in underrepresented Chicago communities. Here, we describe the development, structure, and outcomes of this pilot program.

METHODS: The Chicago Movement Coalition (CMC) was established with academic leaders …

Does Using Sofa Score For Ventilator Triage Among Covid 19 Patients Result In Suboptimal Allocation Of Medical Ventilators For The Bipoc Population?, Alexandrea Mp Masocco, Elisabeth Michel, Ebbin Dotson

Journal of Health Disparities Research and Practice

Introduction: Since the COVID-19 pandemic in the United States, Black, and Latinx populations have been disproportionately affected by the COVID-19 pandemic. It can be inferred with high confidence that those most vulnerable are the least likely to receive essential care. Kidney transplant allocation and COVID-19 triage protocols share commonalities in that both protocols involve using multivariate scored criteria with objective and subjective inputs. As such, the similar conclusion in outcomes is concerning. It is worth questioning whether the racial inequalities demonstrated in the COVID-19 pandemic related to access to life-saving ventilators were associated with triage protocols.

Methodology: Using an exploratory …

Supporting Minority Serving Institution Faculty To Enhance Biomedical Research: The Csulb Center For Health Equity Research Institute, Laura H. D'Anna, Thomas Alex Washington, Wendy Nomura

Journal of Health Disparities Research and Practice

Scientists from Minority Serving Institutions (MSIs) bring unique perspectives and experiences that enhance the potential for understanding factors that are associated with racial, ethnic, and social inequities in health and health status. However, inadequate research infrastructure and mentoring opportunities within MSIs limit faculty engagement in the research enterprise. Additionally, structural inequities embedded in the NIH grant funding process disproportionately disadvantage underrepresented minority (URM) faculty and faculty at MSIs. The foci of the intensive Center for Health Equity Research (CHER) Institute were to 1) increase the number of early career faculty members (with an emphasis on MSI faculty) who are better …

Cardiovascular Disease In Saudi Arabia: Facts And The Way Forward, Adel Abdulkader Tash, Rasha Fahad Al-Bawardy

Journal of the Saudi Heart Association

While some risk factors for cardiovascular diseases (CVDs) are non-modifiable, other determinants like obesity, hypertension, type-2 diabetes and dyslipidemia can be mitigated by a wide plethora of measures to control CVD morbidity/mortality. Those determinants have been on the rise in Saudi Arabia, exacerbated by sedentary lifestyle. The Saudi Vision 2030 focuses include the reduction of CVD clinical and economic burden to scale-up vitality and longevity; in a new era of comprehensive healthcare. From a health economics standpoint, CVDs entail a burden on healthcare systems directly through expenditure and indirectly through years living with the disease, low productivity, premature morbidity and …

Therapies For Patients With Coexisting Heart Failure With Reduced Ejection Fraction And Non-Alcoholic Fatty Liver Disease, Jose Arriola-Montenegro, Renato Beas, Renato Cerna-Viacava, Andres Chaponan-Lavalle, Karla Hernandez Randich, Diego Chambergo-Michilot, Herson Flores Sanga, Pornthira Mutirangura

Internal Medicine Articles

Heart failure with reduced ejection fraction (HFrEF) and nonalcoholic fatty liver disease (NAFLD) are two common comorbidities that share similar pathophysiological mechanisms. There is a growing interest in the potential of targeted therapies to improve outcomes in patients with coexisting HFrEF and NAFLD. This manuscript reviews current and potential therapies for patients with coexisting HFrEF and NAFLD. Pharmacological therapies, including angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, mineralocorticoids receptor antagonist, and sodium-glucose cotransporter-2 inhibitors, have been shown to reduce fibrosis and fat deposits in the liver. However, there are currently no data showing the beneficial effects of sacubitril/valsartan, ivabradine, hydralazine, isosorbide nitrates, …

Effect Of Biological Variation In Hba1c And Blood Glucose On The Diagnosis Of Prediabetes, James M. Hempe, Shengping Yang, Daniel S. Hsia

School of Medicine Faculty Publications

Introduction: People with a low or high haemoglobin glycation index (HGI) have lower or higher HbA1c than other people with the same FPG. This study compared the prevalence of prediabetes based on FPG, 2hOGTT and HbA1c in people with low, moderate or high HGI. Methods: Prediabetes was diagnosed based on ADA cutpoints in 10,488 NHANES participants without self-reported diabetes. HGI was calculated as the difference between a participant's observed HbA1c and a predicted HbA1c where predicted HbA1c = 0.024 FPG + 3.1. Participants were divided into low (HGI < −0.15%), moderate (HGI −0.15% to +0.15%) and high (HGI > +0.15%) HGI subgroups. Results: The prevalence of prediabetes was 42.4% based on …

Helpful Or Harmful? A Case Report Of Nutritional Supplements Causing Drug-Induced Liver Injury, Amman Bhasin, Md, Phoebe Chun, Md, Justin Bilello, Md, Manju Ambelil, Md, Dina L. Halegoua-Demarzio, Md

The Medicine Forum

Herbal supplement-induced liver injury represents a growing concern in the body of drug-induced liver injury (DILI) literature, with recent studies in mainland China, Iceland, and the United States reporting estimated rates of herb/dietary supplement-induced liver injury (HILI) between 1.16-6.38 per 100,000 (Björnsson et al., 2013; Shen et al., 2019; Vega et al., 2017). Notably, a recent 2020 study demonstrated an increasing prevalence of hepatotoxicity secondary to herbal and dietary supplements in the US and worldwide (Zheng et al., 2020). Recognizing the hepatotoxicity of various supplements is crucial, given the increasing usage of dietary and herbal supplements and the lack of …

End-Stage Chronic Intestinal Pseudo-Obstruction Resulting In Intestinal Pneumatosis, Justin Bilello, Md, Amman Bhasin, Md, Phoebe Chun, Md, Aaron Martin, Md

The Medicine Forum

Chronic intestinal pseudo-obstruction (CIPO) is a rare gastrointestinal motility disorder that presents with symptoms, physical exam, and imaging findings of mechanical bowel obstruction without an anatomical obstruction. Multiple etiologies, including enteric or extrinsic neuropathic dysfunction, myopathic dysfunction, or dysfunction of the interstitial cells of Cajal, cause CIPO’s pathogenesis. The presentation of CIPO may be idiopathic or caused by underlying diseases. The most common presentation is abdominal pain, bloating, and distension. Here, we present a patient with an end-stage case of CIPO who failed medical therapy. Her distension progressed over a decade, requiring emergency surgery due to intestinal pneumatosis.

Table Of Contents: The Medicine Forum Volume 24, 2022-2023

The Medicine Forum

Table of Contents: The Medicine Forum Volume 24, 2022-2023

The Medicine Forum: Volume 24

The Medicine Forum

The Journal of Thomas Jefferson University Hospital - Department of Internal Medicine, Volume 24, 2022-2023

TABLE OF CONTENTS

• Case Reports
• Ultrasound Education

July 25, 2023 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Preventing Mushy Blueberries By Managing Spotted Wing Drosophila, Nicholas Gosling

UNH Today Archive

No abstract provided.

Collaborative Leadership To Support Sustainability In Practice For Dietitians As Allied Health Professionals, Clare Pettinger, Smita Tripathi, Benji Shoker, Gary Hodge

School of Health Professions

Background Allied health professionals (AHPs) have an important role to support the Greener National Health Service (NHS) agenda. Dietitians are AHPs who are already demonstrating strong influence on food sustainability advocacy. There is call for more collaboration across the health professions to optimise “green” leadership in the pursuit of planetary health. The present study aimed to investigate the perceived role of AHP leaders and future leaders around more sustainable healthcare practices. Methods A mixed methods approach using audio-recorded semi-structured interviews with strategic AHP leaders (n = 11) and focus groups with student AHPs (n = 2). Standardised open-ended questions considered …